Enrolled HB 366: Making appropriations for the operating and capital expenses of the state's integrated comprehensive mental health program; and providing for an effective date.
00Enrolled HB 366 01 Making appropriations for the operating and capital expenses of the state's integrated 02 comprehensive mental health program; and providing for an effective date. 03 _______________ 04 (SECTION 1 OF THIS ACT BEGINS ON PAGE 2)
01 * Section 1. The following appropriation items are for increases in operating expenditures 02 from the general fund or other funds as set out in section 3 of this Act to the agencies named 03 for the purposes expressed for the fiscal year ending June 30, 2007, unless otherwise 04 indicated. A departmentwide, agency-wide, or branch-wide unallocated reduction set out in 05 this section may be allocated among the appropriations made in this section to that 06 department, agency, or branch. 07 Appropriation General Other 08 Allocations Items Funds Funds 09 * * * * * * * * * * 10 * * * * * Department of Administration * * * * * 11 * * * * * * * * * * 12 Legal and Advocacy Services 1,811,400 1,705,300 106,100 13 Office of Public Advocacy 1,554,700 14 Public Defender Agency 256,700 15 * * * * * * * * * * 16 * * * * * Department of Corrections * * * * * 17 * * * * * * * * * * 18 Administration and Support 611,600 565,600 46,000 19 Offender Habilitation 611,600 20 Programs 21 Inmate Health Care 5,835,300 5,600,300 235,000 22 Inmate Health Care 5,835,300 23 * * * * * * * * * * 24 * * * * * Department of Education and Early Development * * * * * 25 * * * * * * * * * * 26 Teaching and Learning Support 344,300 119,300 225,000 27 Student and School 344,300 28 Achievement 29 * * * * * * * * * * 30 * * * * * Department of Health and Social Services * * * * * 31 * * * * * * * * * *
01 No money appropriated in this appropriation may be expended for an abortion that is not a 02 mandatory service required under AS 47.07.030(a). The money appropriated for Health and 03 Social Services may be expended only for mandatory services required under Title XIX of the 04 Social Security Act and for optional services offered by the state under the state plan for 05 medical assistance that has been approved by the United States Department of Health and 06 Human Services. This statement is a statement of the purpose of the appropriation and is 07 neither merely descriptive language nor a statement of legislative intent. 08 It is the intent of the legislature that the Department continues to aggressively pursue 09 Medicaid cost containment initiatives. Efforts should continue where the Department 10 believes additional cost containment is possible including further efforts to contain travel 11 expenses. The Department must continue efforts imposing regulations controlling and 12 materially reducing the cost of Personal Care Attendant (PCA) services. Efforts must be 13 initiated utilizing existing resources to impose regulations screening applicants for Residential 14 Psychiatric Treatment Center (RPTC) services, especially for out-of-state services. The 15 department must address the entire matrix of optional Medicaid services, reimbursement rates 16 and eligibility requirements that are the basis of the Medicaid growth algorithm. This work is 17 to utilize the results of the Medicaid Assessment and Planning analysis. The legislature 18 requests that by January 2007 the Department be prepared to present projections of future 19 Medicaid funding requirements under our existing statute and regulations and be prepared to 20 present and evaluate the consequences of viable policy alternatives that could be implemented 21 to lower growth rates and reducing projections of future costs. 22 It is the intent of the legislature that the Department of Health and Social Services actively 23 participate in the development and growth of Alaska's therapeutic courts. 24 It is the intent of the legislature that the Department of Health and Social Services work 25 cooperatively with the Legislature's professional contractor to assist in providing information 26 needed for the contractor to review Medicaid program and complete its scope of work. 27 Alaskan Pioneer Homes 12,559,200 12,559,200 28 It is the intent of the legislature that the Department establishes regulations requiring all 29 residents of the Pioneer Homes to apply for all appropriate benefit programs prior to a state 30 subsidy being provided for their care from the State Payment Assistance program. 31 It is the intent of the legislature that all pioneers' homes and veterans' homes applicants shall
01 complete any forms to determine eligibility for supplemental program funding, such as 02 Medicaid, Medicare, SSI, and other benefits as part of the application process. If an applicant 03 is not able to complete the forms him/herself, or if relatives or guardians of the applicant are 04 not able to complete the forms, Department of Health and Social Services staff may complete 05 the forms for him/her, obtain the individuals' or designee's signature and submit for eligibility 06 per AS 47.25.120. 07 It is the intent of the legislature that the Pioneers' Home program administration review the 08 actual full cost of care for services provided at the Pioneers' Homes and develop a proposal to 09 increase rates to reflect the system wide average of full cost of care at the three different care 10 levels. In order to maximize Medicaid recovery, a proposed rate increase should be 11 considered for implementation July 1, 2007. 12 Alaska Pioneer Homes 64,300 13 Management 14 Pioneer Homes 12,494,900 15 Behavioral Health 85,471,500 60,669,600 24,801,900 16 Alcohol Safety Action 105,000 17 Program (ASAP) 18 Behavioral Health Medicaid 32,156,100 19 Services 20 Behavioral Health Grants 16,873,500 21 It is the intent of the legislature that the department reviews its procedures surrounding the 22 awarding of recurring grants to assure that applicants are regularly evaluated on their 23 performance in achieving the missions of the Department related to their specific grant and 24 that the recipients' performance be measured and incorporated in to the decision whether to 25 continue awarding grants. 26 Behavioral Health 2,369,700 27 Administration 28 Community Action Prevention 958,100 29 & Intervention Grants 30 Rural Services and Suicide 2,115,200 31 Prevention
01 Psychiatric Emergency 6,153,400 02 Services 03 Services to the Seriously 9,837,900 04 Mentally Ill 05 Designated Evaluation and 1,211,900 06 Treatment 07 Services for Severely 6,526,200 08 Emotionally Disturbed Youth 09 It is the intent of the legislature that the Department of Health and Social Services provide a 10 detailed five year plan for the Bring the Kids Home initiative that will include: infrastructure 11 requirements in Alaska, number of beds needed identified by level of intensity, five year 12 funding forecast, and the anticipated improvement of life for clients. 13 Alaska Psychiatric Institute 7,164,500 14 Children's Services 11,548,700 11,548,700 15 Children's Medicaid Services 3,830,000 16 Children's Services 64,200 17 Management 18 Front Line Social Workers 148,600 19 Foster Care Augmented Rate 500,000 20 Foster Care Special Need 747,900 21 Residential Child Care 1,956,300 22 Infant Learning Program 4,301,700 23 Grants 24 Juvenile Justice 370,200 370,200 25 McLaughlin Youth Center 159,500 26 Fairbanks Youth Facility 95,000 27 Bethel Youth Facility 55,700 28 Probation Services 60,000 29 Public Health 217,000 217,000 30 Certification and Licensing 118,700 31 Community Health Grants 98,300
01 Senior and Disabilities 14,011,700 13,033,900 977,800 02 Services 03 It is the intent of the legislature that the department examine their procedure for maintaining 04 the disabilities waitlist to assure that criteria for listing are consistent, objective and 05 meaningful, that the list is accurately maintained without unnecessary action by individuals on 06 the list, that the list identify services already being received by those on the list and that the 07 list be managed to promote parity in the provision of services through out the social services 08 system. 09 It is the intent of the legislature that the department utilize funds referenced as available to 10 begin the Inventory of Client and Agency Planning (ICAP) process as recommended in the 11 Ad Hoc Committee on the Developmental Disability Waitlist Recommendations for Change 12 report. It is further the intent of the legislature that the Department move forward with 13 implementation of the report recommendations as appropriate and submit a progress report to 14 the Legislature by January 15, 2007, which includes information regarding the number of 15 individuals on the waiting list that have had an ICAP completed as well as the Department's 16 recommended action for those recommendations contained in the Ad Hoc report with which 17 they may disagree. 18 Senior and Disabilities 2,272,200 19 Services Administration 20 Protection and Community 740,300 21 Services 22 Senior Community Based 3,024,400 23 Grants 24 Community Developmental 7,974,800 25 Disabilities Grants 26 Departmental Support Services 1,426,400 1,334,300 92,100 27 Agency-wide Unallocated -187,000 28 Reduction 29 Administrative Support 394,300 30 Services 31 Health Planning and 50,000
01 Infrastructure 02 Information Technology 819,100 03 Services 04 HSS State Facilities Rent 350,000 05 Boards and Commissions 1,284,900 590,800 694,100 06 AK Mental Health & Alcohol 809,200 07 & Drug Abuse Boards 08 Commission on Aging 120,000 09 Governor's Council on 230,000 10 Disabilities and Special 11 Education 12 Suicide Prevention Council 125,700 13 * * * * * * * * * * 14 * * * * * Department of Law * * * * * 15 * * * * * * * * * * 16 Civil Division 76,900 76,900 17 Human Services Section 76,900 18 * * * * * * * * * * 19 * * * * * Department of Natural Resources * * * * * 20 * * * * * * * * * * 21 Resource Development 1,443,900 1,443,900 22 Mental Health Trust Lands 1,443,900 23 Administration 24 * * * * * * * * * * 25 * * * * * Department of Revenue * * * * * 26 * * * * * * * * * * 27 Alaska Mental Health Trust 1,738,100 1,738,100 28 Authority 29 Mental Health Trust 1,738,100 30 Operations
01 * * * * * * * * * * 02 * * * * * University of Alaska * * * * * 03 * * * * * * * * * * 04 It is the intent of the legislature that the University of Alaska continues its partnership with 05 the Department of Education and Early Development in support of the Alaska Statewide 06 Mentor Project. 07 University of Alaska 1,025,800 200,800 825,000 08 Budget Reductions/Additions 45,000 09 - Systemwide 10 Statewide Services 100,000 11 Anchorage Campus 488,500 12 Fairbanks Campus 287,300 13 Juneau Campus 105,000 14 * * * * * * * * * * 15 * * * * * Alaska Court System * * * * * 16 * * * * * * * * * * 17 Alaska Court System 693,100 227,800 465,300 18 Budget requests from agencies of the Judicial Branch are transmitted as requested. 19 Trial Courts 693,100 20 (SECTION 2 OF THIS ACT BEGINS ON PAGE 9)
01 * Sec. 2 The following appropriation items are for operating expenditures from the general 02 fund or other funds as set out in the fiscal year 2007 budget summary by funding source to the 03 state agencies named and for the purposes set out in the new legislation for the fiscal year 04 beginning July 1, 2006 and ending June 30, 2007. The appropriation items contain funding 05 for legislation assumed to have passed during the second session of the twenty-fourth 06 legislature and are to be considered part of the agency operating budget. Should a measure 07 listed in this section either fail to pass, its substance fail to be incorporated in some other 08 measure, or be vetoed by the governor, the appropriation for that measure shall lapse. A 09 department-wide, agency-wide, or branch-wide unallocated reduction or increase set out in 10 the New Legislation section may be allocated among the appropriations made in this section 11 to that department, agency, or branch. 12 Appropriation General Other 13 Items Funds Funds 14 HB 105 Medicaid for Adult Dental Services 425,000 425,000 15 appropriated to Department of Health and Social 16 Services 17 (SECTION 3 OF THIS ACT BEGINS ON PAGE 10)
01 * Sec. 3. The following sets out the funding by agency for the appropriations made in sec. 1 02 and sec. 2 of this Act. 03 New 04 Funding Source Operating Legislation Total 05 Department of Administration 06 1037 General Fund / Mental Health 1,705,300 0 1,705,300 07 1092 Mental Health Trust Authority 106,100 0 106,100 08 Authorized Receipts 09 *** Total Agency Funding *** $1,811,400 $0 $1,811,400 10 Department of Corrections 11 1037 General Fund / Mental Health 6,165,900 0 6,165,900 12 1092 Mental Health Trust Authority 281,000 0 281,000 13 Authorized Receipts 14 *** Total Agency Funding *** $6,446,900 $0 $6,446,900 15 Department of Education and Early Development 16 1037 General Fund / Mental Health 119,300 0 119,300 17 1092 Mental Health Trust Authority 225,000 0 225,000 18 Authorized Receipts 19 *** Total Agency Funding *** $344,300 $0 $344,300 20 Department of Health and Social Services 21 1037 General Fund / Mental Health 100,323,700 0 100,323,700 22 1092 Mental Health Trust Authority 7,673,200 425,000 8,098,200 23 Authorized Receipts 24 1180 Alcohol and Other Drug Abuse 18,892,700 0 18,892,700 25 Treatment & Prevention Fund 26 *** Total Agency Funding *** $126,889,600 $425,000 $127,314,600 27 Department of Law 28 1037 General Fund / Mental Health 76,900 0 76,900 29 *** Total Agency Funding *** $76,900 $0 $76,900 30 Department of Natural Resources 31 1092 Mental Health Trust Authority 1,443,900 0 1,443,900
01 Authorized Receipts 02 *** Total Agency Funding *** $1,443,900 $0 $1,443,900 03 Department of Revenue 04 1094 Mental Health Trust 1,738,100 0 1,738,100 05 Administration 06 *** Total Agency Funding *** $1,738,100 $0 $1,738,100 07 University of Alaska 08 1037 General Fund / Mental Health 200,800 0 200,800 09 1092 Mental Health Trust Authority 825,000 0 825,000 10 Authorized Receipts 11 *** Total Agency Funding *** $1,025,800 $0 $1,025,800 12 Alaska Court System 13 1037 General Fund / Mental Health 227,800 0 227,800 14 1092 Mental Health Trust Authority 465,300 0 465,300 15 Authorized Receipts 16 *** Total Agency Funding *** $693,100 $0 $693,100 17 * * * * * Total Budget * * * * * $140,470,000 $425,000 $140,895,000 18 (SECTION 4 OF THIS ACT BEGINS ON PAGE 12)
01 * Sec. 4. The following sets out the statewide funding for the appropriations made in sec. 1 02 and sec. 2 of this Act. 03 New 04 Funding Source Operating Legislation Total 05 General Funds 06 1037 General Fund / Mental Health 108,819,700 108,819,700 07 ***Total General Funds*** $108,819,700 $0 $108,819,700 08 Federal Funds 09 ***Total Federal Funds*** $0 $0 $0 10 Other Non-Duplicated Funds 11 1092 Mental Health Trust Authority 11,019,500 425,000 11,444,500 12 Authorized Receipts 13 1094 Mental Health Trust 1,738,100 1,738,100 14 Administration 15 1180 Alcohol and Other Drug Abuse 18,892,700 18,892,700 16 Treatment & Prevention Fund 17 ***Total Other Non-Duplicated Funds*** $31,650,300 $425,000 $32,075,300 18 Duplicated Funds 19 ***Total Duplicated Funds*** $0 $0 $0 20 (SECTION 5 OF THIS ACT BEGINS ON PAGE 13)
01 * Sec. 5. The following appropriation items are for capital projects and grants from the 02 general fund or other funds as set out in section 6 of this Act by funding source to the 03 agencies named for the purposes expressed and lapse under AS 37.25.020, unless otherwise 04 noted. 05 Appropriation General Other 06 Allocations Items Funds Funds 07 * * * * * * * * * * 08 * * * * * Department of Health and Social Services * * * * * 09 * * * * * * * * * * 10 Alaska Psychiatric 3,000,000 3,000,000 11 Institute Asbestos 12 Abatement (HD 17-32) 13 This appropriation is for costs associated with fulfilling the obligation of the State of Alaska 14 related to the demolition and asbestos abatement of the old Alaska Psychiatric Institute. 15 Cost Share Match for Bring 5,000,000 5,000,000 16 the Kids Home (HD 1-40) 17 Home and Community-Based 400,000 400,000 18 Group Home Development (HD 19 1-40) 20 Home Modification and 200,000 200,000 21 Design Upgrades (HD 1-40) 22 Transitional Housing for 1,200,000 1,200,000 23 Substance Abuse (HD 1-40) 24 * * * * * * * * * * 25 * * * * * Department of Natural Resources * * * * * 26 * * * * * * * * * * 27 Mental Health Trust Land 550,000 550,000 28 Development (HD 1-40) 29 Mental Health Trust Land 350,000 350,000 30 Facilities Maintenance (HD 31 1-40)
01 * * * * * * * * * * 02 * * * * * Department of Revenue * * * * * 03 * * * * * * * * * * 04 Alaska Housing Finance 05 Corporation 06 AHFC Beneficiary and 1,750,000 1,750,000 07 Special Needs Housing (HD 08 1-40) 09 AHFC Homeless Assistance 2,000,000 2,000,000 10 Program (HD 1-40) 11 * * * * * * * * * * 12 * * * * * Department of Transportation/Public Facilities * * * * * 13 * * * * * * * * * * 14 Coordinated Transportation 400,000 400,000 15 and Vehicles (HD 1-40) 16 (SECTION 6 OF THIS ACT BEGINS ON PAGE 15)
01 * Sec. 6. The following sets out the funding by agency for the appropriations made in sec. 5 of 02 this Act. 03 Funding Source Amount 04 Department of Health and Social Services 05 1037 General Fund / Mental Health 8,000,000 06 1092 Mental Health Trust Authority Authorized Receipts 350,000 07 1139 Alaska Housing Finance Corporation Dividend 250,000 08 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 1,200,000 09 *** Total Agency Funding *** $9,800,000 10 Department of Natural Resources 11 1092 Mental Health Trust Authority Authorized Receipts 900,000 12 *** Total Agency Funding *** $900,000 13 Department of Revenue 14 1092 Mental Health Trust Authority Authorized Receipts 1,000,000 15 1139 Alaska Housing Finance Corporation Dividend 2,750,000 16 *** Total Agency Funding *** $3,750,000 17 Department of Transportation/Public Facilities 18 1092 Mental Health Trust Authority Authorized Receipts 400,000 19 *** Total Agency Funding *** $400,000 20 * * * * * Total Budget * * * * * $14,850,000 21 (SECTION 7 OF THIS ACT BEGINS ON PAGE 16)
01 * Sec. 7. The following sets out the statewide funding for the appropriations made in sec. 5 of 02 this Act. 03 Funding Source Amount 04 General Funds 05 1037 General Fund / Mental Health 8,000,000 06 ***Total General Funds*** $8,000,000 07 Federal Funds 08 ***Total Federal Funds*** $0 09 Other Non-Duplicated Funds 10 1092 Mental Health Trust Authority Authorized 2,650,000 11 Receipts 12 1139 Alaska Housing Finance Corporation Dividend 3,000,000 13 1180 Alcohol and Other Drug Abuse Treatment & 1,200,000 14 Prevention Fund 15 ***Total Other Non-Duplicated Funds*** $6,850,000 16 Duplicated Funds 17 ***Total Duplicated Funds*** $0 18 (SECTION 8 OF THIS ACT BEGINS ON PAGE 17)
01 * Sec. 8. In accordance with AS 37.14.003 and 37.14.005, the appropriations made by this 02 Act are for the state's integrated comprehensive mental health program. 03 * Sec. 9. NONGENERAL FUND RECEIPTS. (a) Alaska Mental Health Trust Authority 04 authorized receipts (AS 37.14.036) or administration receipts (AS 37.14.036) that exceed the 05 amounts appropriated by this Act are appropriated conditioned upon compliance with the 06 program review provisions of AS 37.07.080(h). 07 (b) If Alaska Mental Health Trust Authority authorized receipts (AS 37.14.036) or 08 administration receipts (AS 37.14.036) fall short of the estimates appropriated in this Act, the 09 affected appropriation is reduced by the amount of the shortfall in receipts. 10 * Sec. 10. SALARY AND BENEFIT ADJUSTMENTS. (a) The appropriations made in sec. 11 1 of this Act include amounts for salary and benefit adjustments for public officials, officers, 12 and employees of the executive branch, Alaska Court System employees, employees of the 13 legislature, and legislators and to implement the terms for the fiscal year ending June 30, 14 2007, of the following collective bargaining agreements: 15 (1) Alaska Public Employees Association, for the Confidential Unit; 16 (2) Alaska Public Employees Association, for the Supervisory Unit; 17 (3) Alaska State Employees Association, for the General Government Unit; 18 (4) Marine Engineers Beneficial Association, representing licensed engineers 19 employed by the Alaska marine highway system; 20 (5) Public Employees Local 71, for the Labor, Trades and Crafts Unit; 21 (6) Inlandboatmen's Union of the Pacific, representing the unlicensed marine 22 unit; 23 (7) International Organization of Masters, Mates, and Pilots, for the Masters, 24 Mates, and Pilots Unit; 25 (8) Public Safety Employees Association, representing regularly 26 commissioned public safety officers; 27 (9) Alaska Correctional Officers Association, representing correctional 28 officers; 29 (10) Alaska Vocational Technical Center Teachers' Association - National 30 Education Association, representing employees of the Alaska Vocational Technical Center. 31 (b) The appropriations made in sec. 1 of this Act include the arbitration award
01 increasing the employer health insurance contribution amount for employees in the Alaska 02 State Employees Association Health Benefits Trust. 03 * Sec. 11. This Act takes effect July 1, 2006.